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NPI Code Detail

MEDICARE: DR. KRISTIN JOY FRIEHE AU.D.

MEDICARE: DR. KRISTIN JOY FRIEHE AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355A2700XAudiology Assistant
2231H00000XAudiologist
3237700000XHearing Instrument Specialist116NE
4237700000XHearing Instrument Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619125531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN JOY FRIEHE AU.D.
Provider Business Mailing Address
First Line : 16909 PALISADES DR
Second Line :
City : OMAHA
State : NE
Zip : 68136-4220
Country : US
Telephone Number : 402-326-3240
Fax Number :
Provider Business Practice Location Address
First Line : 16909 PALISADES DR
Second Line :
City : OMAHA
State : NE
Zip : 68136-4220
Country : US
Telephone Number : 402-326-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2008
Last Update Date : 11/11/2013

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